Healthcare Provider Details

I. General information

NPI: 1902747066
Provider Name (Legal Business Name): ALLISON TEED FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 N MAIN ST
PENN YAN NY
14527-1070
US

IV. Provider business mailing address

25 HARPENDING AVE
DUNDEE NY
14837-1110
US

V. Phone/Fax

Practice location:
  • Phone: 315-531-2000
  • Fax:
Mailing address:
  • Phone: 607-425-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF360049-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number801625
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: